title: Surgical treatment of non-cystic fibrosis bronchiectasis in Brazilian children.
abstract: OBJECTIVE
  To determine the clinical characteristics of patients submitted to surgical treatment for non-cystic fibrosis (CF) bronchiectasis, the indications for surgery, and the results obtained at a referral facility for pediatric thoracic surgery.
  
  
  METHODS
  Between January 1998 and December 2009, we retrospectively reviewed the medical charts of 109 pediatric patients with non-CF bronchiectasis who underwent surgical treatment. These findings were subsequently analyzed by focusing on postoperative complications and long-term results.
  
  
  RESULTS
  Of the 109 patients undergoing pulmonary resection, the mean age was 7.6 years (ranging from 1 to 15.5 y-o) with male predominance (59 %). The most common procedure was segmentectomy (43 %) followed by left lower lobectomy (38 %). Minor postoperative complications occurred in 36 % of the patients; the most common was transient atelectasis (26 %), followed by air leak (6 %), and postoperative pain (4 %). There was one death within the 30-day postoperative period, but it was unrelated to the procedure. Eighty-three children were followed after discharge, with a mean follow-up period of 667 days. Sixty-five (76 %) patients showed improvement of clinical symptoms after surgery.
  
  
  CONCLUSIONS
  Lung resection for the treatment of non-CF bronchiectasis in children is a safe procedure, with no life-treating morbidity and low mortality. This procedure also leads to significant improvements in symptoms and quality of life.
authors.affiliation: Postgraduate Program in Pulmonary Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, cristianofa@gmail.com.
authors.forename: Cristiano Feijó
authors.initials: CF
authors.lastname: Andrade
authors.forename: Iury Andrade
authors.initials: IA
authors.lastname: Melo
authors.forename: Arthur Rodrigo Ronconi
authors.initials: AR
authors.lastname: Holand
authors.forename: Éverton Franco
authors.initials: ÉF
authors.lastname: Silva
authors.forename: Gilberto Bueno
authors.initials: GB
authors.lastname: Fischer
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Felicetii
mesh_terms: D000293:Adolescent; D001938:Brazil; D001987:Bronchiectasis / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D010149:Postoperative Pain / Q000209:etiology; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D001261:Pulmonary Atelectasis / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome